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NPI Code Detail

MEDICARE: JORDAN T MCGREGOR APRN

MEDICARE: JORDAN T MCGREGOR APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner11022243FL
2363LA2100XAcute Care Nurse PractitionerAPRN11022243FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366228801
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN T MCGREGOR APRN
Provider Business Mailing Address
First Line : 7727 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8224
Country : US
Telephone Number : 407-821-3508
Fax Number :
Provider Business Practice Location Address
First Line : 7727 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8224
Country : US
Telephone Number : 407-821-3508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2023
Last Update Date : 01/06/2026

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